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Caring for Older Adults
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Caring for Older Adults Holistically 7th Edition Dahlkemper Test Bank
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Caring for Older Adults Holistically 7th EditionDahlkemper Test Bank
Normal aging brings about inevitable and irreversible changes. These normal aging
changes are partially responsible for the increased risk of developing health-related
problems within the elderly population. Prevalent problems experienced by older
adults includes can be recognized using the following acronym SPICES which stands
for: - ANSWER: sleep disorders
problems with eating or feeding
incontinence
confusion
evidence of fall
skin breakdown
What type of scale is used in the Katz instrument? - ANSWER: dichotomous (yes-or-no)
According to Hamrin and Lindmark, the correlation between the Activity index and the
Katz index is - ANSWER: 0.95.
The Katz index has demonstrated accuracy in predicting functional outcomes over time
among patients who have had a - ANSWER: stroke.
The Katz index's reliability coefficients range from - ANSWER: 0.87 to 0.94.
The Katz index is often used to determine eligibility for assistance and benefits because
- ANSWER: of its predictive value.
A common environmental challenge of using the Katz index is that - ANSWER: nursing
staff tend to assist older adults with ADLs.
The central element in scoring the Katz index is the patient's ability to - ANSWER:
demonstrate functional independence to a clinician.
A score of 6 on the Katz index indicates that the patient - ANSWER: is independent in
all ADLs.
Ideally, use of the Katz index to assess patients' functional status begins on admission
to an acute care facility and is repeated - ANSWER: at regular intervals and in response
to changes in health.
"In 2004, influenza and pneumonia combined were ranked as the _____________
cause of death in the United States and the fifth leading cause in people over 65. -
ANSWER: eigth
, According to a 2005 survey by the MetLife Mature Market Institute, what percentage of
nursing home residents required assistance with 5 ADLs? - ANSWER: 50%
A 2004 study of 1,147 adults ages 66 and older found that functional dependence
significantly predicted - ANSWER: later institutionalization.
In a 2002 survey, what percentage of women between the ages of 65 and 74 reported
an inability to perform at least one activity of daily living (ADL)? - ANSWER: 20%
Using the Katz index can help hospital nurses - ANSWER: prevent functional
deterioration, improve patient safety, detect subtle changes in health.
.
In addition to measuring functional status, the Katz index is also used in residential care
settings to - ANSWER: measure nursing workload.
The Katz Index of Independence in Activities of Daily Living is a tool for assessing an
older adult's baseline abilities in 6 areas, including - ANSWER: -bathing, dressing,
toileting, eating, transferring, or remaining continent-
the Katz Index of Independence in Activities of Daily Living has shown itself to be an
important tool in - ANSWER: measuring an older adult's capacity to care for her- or
himself
What's so different about caring for older adults? - ANSWER: Physiologic changes
associated with aging changes the way illness presents; the way the human body
responds to treatment; and which treatments are even appropriate.
What is the most common cause of iatrogenic illness, occuring in 20% to 25% of
hospitalized elderly patients - ANSWER: Adverse drug reactions
Initiated at Boston's Beth Israel Hospital, the GRN model is based on the premise that -
ANSWER: not all nurses have the requisite knowledge and skills to provide adequate
care for the growing number of elderly patients for whom they are responsible
Care to elders using the GRN model is successful because it uses - ANSWER: a
systematic and interdisciplinary approach to prevent and treat high-risk, yet common,
geriatric problems
NICHE stands for - ANSWER: NICHE (N urses I mproving C are to the H ospitalized E
lderly)
A recent study demonstrated that an advanced practice nurse-centered discharge
planning and home care intervention for at-risk hospitalized elders - ANSWER: reduced
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